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Littelfuse Inc/DE – ‘SD’ for 12/31/19

On:  Thursday, 5/28/20, at 5:33pm ET   ·   As of:  5/29/20   ·   For:  12/31/19   ·   Rule:  13p-1   ·   Item:  1.01   ·   Item:  1.02   ·   Accession #:  889331-20-39   ·   File #:  0-20388

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  As Of               Filer                 Filing    For·On·As Docs:Size

 5/29/20  Littelfuse Inc/DE                 SD         12/31/19    2:380K

Specialized Disclosure Report Relating to the Use of Conflict Minerals   —   Rule 13p-1
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: SD          Littelfuse Form SD for Fye 2019                     HTML     16K 
 2: EX-1.01     Exhibit 1.01 Conflict Minerals Report               HTML    131K 


‘SD’   —   Littelfuse Form SD for Fye 2019


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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549 
 
FORM SD
Specialized Disclosure Report
 
 
LITTELFUSE, INC.
(Exact name of registrant as specified in its charter)
 
Delaware
36-3795742
(State or other jurisdiction of incorporation
or organization)
(Commission File Number)
(IRS Employer Identification No.)
 
 
 
8755 W Higgins Road, Suite 500,
 
(Address of principal executive offices)
 
(Zip Code)
 
 
 
(773) 628-1000
(Name and telephone number, including area code, of the person to contact in connection with this report.)
 
 

________________________________________________________________________________________________________________________
 
 
Check the appropriate box below to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:
 
 
Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2018.

1



Section 1 – Conflict Minerals Disclosure
 
Item 1.01 Conflict Minerals Disclosure and Report
 
This Specialized Disclosure Report on Form SD (“Form SD”) of Littelfuse, Inc. for the year ended December 31, 2019 is presented to comply with Rule 13p-1 under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Rule 13p-1 under the Exchange Act provides that a registrant must file this specialized disclosure report on Form SD if it manufactures or contracts to manufacture products for which certain “Conflict Minerals” (as defined below) are necessary to the functionality or production of such products. Conflict Minerals are defined as (i) cassiterite, columbite-tantalite, gold, wolframite, or their derivatives, which are limited to tin, tantalum, tungsten, and gold, or (ii) any other mineral or its derivatives determined by the U.S. Secretary of State to be financing conflict in the Democratic Republic of the Congo or an adjoining country (collectively, the “Covered Countries”).
 
As required for products that contain the Conflict Minerals, Littelfuse, Inc. conducted in good faith a reasonable country of origin inquiry that it believes was reasonably designed to determine whether any of the necessary Conflict Minerals contained in its products manufactured in calendar year 2019 originated in the Covered Countries. The Conflict Minerals Report, which describes this inquiry and other information, is provided as an exhibit to this report and is also publicly available on the Littelfuse website at http://investor.littelfuse.com/corporate-governance/governance-overview.
 
Item 1.02 Exhibit
 
The Conflict Minerals Report is attached as Exhibit 1.01 to this Form SD.
 
Item 2.01 Exhibits
 
The following exhibit is filed as part of this Form SD.
 

2



SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.
 
 
 
LITTELFUSE, INC.
 
 
 
 
 
 
 
 
 
 
By:
 
 
 
 
 
 
Executive Vice President and Chief Financial Officer
 
 
Date: May 28, 2020


3

Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘SD’ Filing    Date    Other Filings
Filed as of:5/29/20
Filed on:5/28/20
For Period end:12/31/195
12/31/18SD
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Filing Submission 0000889331-20-000039   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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